US5851203A

Movatterモバイル変換

Info

Publication number: US5851203A
Application number: US08/892,562
Authority: US
Inventors: Johannes Gerardus Maria van Muiden
Original assignee: Cordis Corp
Current assignee: Cordis Corp
Priority date: 1993-09-22
Filing date: 1997-07-14
Publication date: 1998-12-22
Anticipated expiration: 2014-09-22
Also published as: NL9301642A; JPH07148264A; DE69426183D1; DE69426183T2; EP0643979B1; EP0643979A1

Abstract

The neuro-microcatheter is especially adapted for use in the small blood vessels of the brain. The neuro-microcatheter comprises a generally tubular body including a proximal portion, a transition portion and a distal portion and having at least one lumen therein extending from a distal end of the tubular body to a proximal end of the tubular body to which a connecting member can be connected. The tubular body has, in the transition portion, an outer diameter which decreases gradually, over at least part of its length, in the direction from the proximal end of the tubular body toward the distal end of the tubular body. Also, the transition portion increases in flexibility in the direction from the proximal end of the tubular body toward the distal end of the tubular body; and the transition portion has a length of between approximately 0.05 centimeter to approximately 1 meter.

Description

This is a continuation of application Ser. No. 08/313,740 filed Sep. 22, 1994, now abandoned.

BACKGROUND OF THE INVENTION

1. Field of the Invention

The invention relates to a neuro-microcatheter especially designed for use in the tortuous, small blood vessels in the human brain. It is desirable that the distal end of such a catheter be pliable to such an extent that it can pass through very small bends, smaller than 5 mm, in the vascular system of the brain. At the same time the catheter should be sufficiently stiff towards the proximal end to transmit the longitudinal forces when introducing and manipulating the catheter. Furthermore, these qualities must be combined in a relatively long catheter, up to 1 meter in some cases, wherein the distal end must be capable of penetrating into very narrow blood vessels with a diameter considerably smaller than 1 mm.

2. Description of the Related Art

Heretofore in the non-analogous arts of angiography and angioplasty, of infusion catheters, and of cardiovascular catheters, catheters with soft tips, flexible tips and tapered tips have been proposed. Examples of these non-analogous catheters for cardiovascular procedures and of analogous ventricular catheters for use in the brain are disclosed in the following U.S. Patents and foreign patent publications:

______________________________________                                    U.S. Pat. No.         Patentee                                            ______________________________________                                    4,385,635             Ruiz                                                4,405,314             Cope                                                4,430,083             Ganz et al.                                         4,563,180             Jervis et al.                                       4,983,169             Furukawa                                            5,017,259             Kohsai                                              5,061,257             Martinez et al.                                     5,085,649             Flynn                                               5,180,387             Ghajar et al.                                       5,215,614             Wijkamp et al.                                      5,221,270             Parker                                              5,240,537             Bodicky                                             5,279,596             Castaneda et al.                                    5,334,169             Brown et al.                                        5,336,205             Zenzen et al.                                       German Patent Publications:                                               DE 40 32 869          Garcke                                              ______________________________________

The Ruiz U.S. Pat. No. 4,385,635 discloses an angiographic catheter with a soft tip. The catheter has a constant outer diameter, an intermediate zone where a tapered distal portion of a polyamide inner tube is bonded to a tapered portion of a soft, bendable, flexible and pliable elastomeric outer tube and a soft tip zone having a length of 1 to 10 millimeters.

The Jervis et al. U.S. Pat. No. 4,563,180 and the Ganz et al. U.S. Pat. No. 4,430,083 disclose infusion catheters which decrease in outer diameter toward the distal ends thereof.

The Parker U.S. Pat. No. 5,221,270, the Castaneda et al. U.S. Pat. No. 5,279,596 and the Brown et al U.S. Pat. No. 5,334,169 disclose cardiovascular catheters having braided or wound filaments, threads or wires embedded in a tubular body of the catheter.

The German published patent application DE 40 32 869 discloses the bonding of a low friction material to the cylindrical wall of a lumen in a catheter.

SUMMARY OF THE INVENTION

According to the present invention there is provided a neuro-microcatheter especially adapted for use in the small blood vessels of the brain. The neuro-microcatheter comprises a generally tubular body including a proximal portion, a transition portion and a distal portion and having at least one lumen therein extending from a distal end of the tubular body to a proximal end of the tubular body to which a connecting member can be connected. The tubular body has, in the transition portion, an outer diameter which decreases gradually, over at least part of its length, in the direction from the proximal end of the tubular body toward the distal end of the tubular body. Also, the transition portion increases in flexibility in the direction from the proximal end of the tubular body toward the distal end of the tubular body; and the transition portion has a length of between approximately 5 centimeter to approximately 1 meter.

During catheterization, the catheter is introduced into a relatively wide blood vessel and advanced from there to even narrower vessels. Toward the proximal end the thickness of the catheter may therefore be greater, without limiting the accessibility to very small blood vessels. Because of the somewhat greater thickness close to the proximal end, the neuro-microcatheter can be manipulated properly by engagement of the proximal end thereof.

In order to be able to use the catheter according to the invention with a metal guide wire or one coated with polytetrafluorethylene, which obviously will have a very small diameter, the lumen is bounded by a layer of low friction material.

The friction between the guide wire and the catheter will consequently be so little that, even in case of a very tortuous passage of the catheter in the vascular system in the brain, the guide wire will not become stuck inside the catheter. The layer of material characterized by low friction can, for instance, be made of polytetrafluorethylene or polyethylene, which at the same time can withstand aggressive chemotherapeutics or wear from the guide wire.

A desired increase in the pliability toward the distal end is already due to a decrease in the diameter but is additionally enhanced, preferably by providing the neuro-microcatheter with a relatively stiff and a relatively flexible layer of material and by constructing the neuro-microcatheter with a cross-section of the stiff layer of material which decreases, relative to the flexible layer of material, toward the distal end of the neuro-microcatheter.

By using relatively stiff material close to the proximal end and then, in increasing manner, more pliable material toward the distal end, a desired, great difference in flexibility of the distal end and the proximal end can be achieved.

The decrease in diameter and the increase in flexibility can be obtained by providing the flexible layer of material with a substantially constant thickness over the length of the catheter and by controlling the thickness of the stiff layer of material so that it decreases from the proximal toward the distal end.

In order to achieve a good pressure resistance and a good torsional resistance at least close to the proximal end, a reinforcing layer braided or wound of threads or filaments is provided.

To reduce axial flexibility at the distal end, the pitch of the braided or wound threads or filaments increases toward the distal end.

One preferred neuro-microcatheter constructed according to the teachings of the present invention, preferably will have a diameter which decreases from 1.0 or 0.8 mm to 0.75 mm or 0.65 mm.

BRIEF DESCRIPTION OF THE DRAWINGS

The invention will be explained in greater detail with reference to the four examples of embodiments shown schematically in the attached drawings wherein each of the FIGS. 1-4 illustrates schematically a basic body of a catheter constructed according to the teachings of the present invention, with the proximal end on the right hand side and the distal end on the left hand side.

FIG. 1 is a longitudinal sectional view of one embodiment of the neuro-microcatheter constructed according to the teachings of the present invention.

FIG. 2 is a longitudinal sectional view of another embodiment of the neuro-microcatheter constructed according to the teachings of the present invention.

FIG. 3 is a longitudinal sectional view of a further embodiment of the neuro-microcatheter constructed according to the teachings of the present invention.

FIG. 4 is a longitudinal sectional view of still another embodiment of the neuro-microcatheter constructed according to the teachings of the present invention.

DESCRIPTION OF THE PREFERRED EMBODIMENT(S)

Thebasic body 2 of the catheter 1 shown in FIG. 1 comprises one lumen 3 which runs from the proximal end, to which a connecting member, not shown here, has been attached, to the distal end. As shown in FIG. 1, the diameter of thebasic body 2 gradually decreases in a transition portion or zone from the proximal end towards the distal end.

Thebasic body 2 is made up of a relatively stiff layer ofmaterial 4 and a relatively flexible layer ofmaterial 5. The cross-section of the stiff layer ofmaterial 4 decreases in relation to the flexible layer ofmaterial 5 in a transition zone. This transition zone can vary in length from 5 centimeter to up to 1 meter and typically has a length of several tens of centimeters, for example from approximately 5 cm to approximately 50 cm. Close to the proximal end, the stiff layer ofmaterial 4 has a constant cross-section and close to the distal end the flexible layer ofmaterial 5 has a constant cross-section.

The gradual transition from the one layer ofmaterial 4 to the other 5, can be achieved by manufacturing thebasic body 2 by intermittent extrusion. The supply of thestiff material 4 is gradually reduced, while the supply of theflexible material 5 is gradually increased, In order to achieve the reduction in diameter, the reduction in the supply of thestiff material 4 will, however, be set at a rate less than the rate of increase in the supply of theflexible material 5.

The gradual reduction in outside diameter from the proximal toward the distal end can also be achieved by increasing the carrying velocity of the extrusion product, e.g., increasing the velocity of the pulling of the material being extruded, during the transition from the stiff to the flexible material.

The lumen 3 is bounded by a layer 6 made of a low friction material, such as polytetrafluorethylene or polyethylene, in order to achieve minimal friction with respect to a guide wire to be advanced through the lumen 3.

The catheter 7, as shown in FIG. 2, is basically similar to the catheter 1, as shown in FIG. 1. Also, in this case thebasic body 8 comprises one lumen, made of a stiff layer of material 9 and a flexible layer ofmaterial 10, which decreases in diameter toward the distal end of thebasic body 8.

The catheter 7 further comprises a braided or wound reinforcinglayer 11 of metal or plastic threads or filaments. As shown in FIG. 2, the pitch of the braided or wound reinforcing layer is smaller at the proximal end than at the distal end, but, with another embodiment, one can also opt for the pitch to be constant from the proximal to the distal end of the catheter. In this case, the word pitch is understood to mean the distance between the threads or filaments. By using a smaller pitch close to the proximal end, the number of threads per unit length is greater, so that the reinforcing layer contributes more to the torsional resistance of the catheter than at the distal end. At the distal end, the reinforcing layer contributes more to the reduction in axial flexibility due to the larger pitch.

Thecatheter 15 illustrated in FIG. 3 comprises abasic body 16 which has been made slightly different from the catheter 1 in FIG. 1. Thecatheter 15 also comprises onelumen 17, a flexible layer ofmaterial 18 and a stiff layer ofmaterial 19. However, the thickness of the flexible layer ofmaterial 18 is constant over the entire length of thebasic body 16, whereas the thickness of the stiff layer ofmaterial 19 reduces to zero toward the distal end. Consequently, a change in the flexibility and the thickness of the catheter is achieved. The lumen is bounded by a layer with good frictional properties like, for instance, polytetrafluorethylene or polyethylene of between approximately 0.02 and 0.3 mm, the lumen having a diameter of approximately 0.53 mm.

Thecatheter 20 of FIG. 4 has basically the same construction again as the one in FIG. 3, which, however, once again includes a reinforcinglayer 22 that has been incorporated into thebasic body 21 of which the threads can have an increasing pitch toward the distal end.

In thecatheter 20, alayer 23 with good frictional properties has been applied. As stated above, this layer preferably comprises a polytetrafluorethylene layer or a polyethylene layer.

For the stiff layer of a material a suitable polyurethane or a low pressure polyethylene can be chosen, while for the flexible layer also a polyurethane, but in that case of a composition which displays little stiffness, or a polyethylene with vinyl acetate can be chosen.

According to the teachings of the present invention, a neuro-microcatheter is provided, suitable for use in blood vessels of the brain, which has a considerable length including a transition zone with a length between 5 cm and 1 meter in which there is a gradual decrease in diameter and a gradual increase in flexibility in the direction from the proximal end toward the distal end and a very small diameter of less than 1 mm. In one preferred embodiment, from the proximal end to the distal end, the diameter can decrease from approximately 1 mm to approximately 0.7 mm. The wall thickness of the catheter can in that case be in the order of approximately 0.1 mm, so that the inside diameter of the lumen can be approximately 0.5 mm. In the transition zone, the outer diameter reduces from an outer diameter of approximately 0.97-0.81 mm to an outer diameter of approximately 0.73-0.65 mm.